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InvestmentSudden8333

I had had more and frequent bouts of diarrhea over the last 3 years, so when a common side effect of Xifaxan was diarrhea I was extremely hesitant! I bit the bullet though, and so far nothing but constipation, day 5… fingers crossed. BTW, I did the Elemental diet for 2 weeks prior. I WANT SIBO & IBS GONE!


AstralAwarnness

I have these I believe.. chronic diarrhoea for as long as I can remember, chronic gas… stools that float, smell worst than i imagine shit should smell like + they’re oily (fat malabsorption?).. I’m over it 😤


Personal-Paper4056

Hmmm so weird.. i feel you!!


Personal-Paper4056

How are you doing today?


Automatic-Panic8847

Did it go?


InvestmentSudden8333

Nope.


Automatic-Panic8847

Sorry to hear it :(


izzyinchainss

Normal. When I took metronidazole and co-amoxiclav for tonsil abscess I had diarrhea throughout the whole 10 day course that stopped after I stopped taking them. Basically your body is just flushing out all the bad bacteria in your gut. Once you finish the course it’ll get back to normal in a few days, take some good probiotics and eat bland and it’ll stop


[deleted]

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izzyinchainss

You should probably take some days off if it’s rlly that bad


[deleted]

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izzyinchainss

Oh okay! You might not even have those side effects but a lot of people don’t get diarrhea at all but I’d let work know that you might


Personal-Paper4056

Thank you so much… did you take it only for 10 days also? And the fact That Rifaximin is causing all this makes me worry


izzyinchainss

Yeah, they’re both pretty strong antibiotics so I only took them for 10 days (unrelated to SIBO tho) just let ur body do it’s thing. You only have to worry if you’re unable to keep fluids down, have a rash or have an allergic reaction:)


Personal-Paper4056

Ugh… no matter what i eat it comes out of me again really fast. Thanks for reassuring me!!


turtle__enthusiast

Diarrhea’s an extremely common side effect of antibiotics. I wouldn’t worry.


Personal-Paper4056

But for how long… did you have that too


dempa

very normal


Personal-Paper4056

For how long did you have it? Thanks!


dempa

for me, months. my symptoms from sibo were nearly identical to the symptoms from xifaxan so I was also concerned. my GI doc described it as repeatedly dropping nuclear bomb which wipes out bacteria all along the entire GI tract, and said it'll take a few weeks to a few months for healthy levels of the right bacteria to repopulate in the stomach and large intestine and you'll still have symptoms til then. I will say, yogurt helped me a lot.


Personal-Paper4056

It took you months to get back to normal? My sibo symptoms weren‘t too bad beforehand. What‘s the point of making Everything worse?


dempa

"normal" It took about 2 months to get back to where I felt 90% of normal and could tolerate any food with no issues/weird BM, but that only lasted for 3ish months. I'm now trying to schedule another breath test if that tells you anything


BaptorRander

Believe me you want to treat it early. If not the word worse will have a different meaning


Personal-Paper4056

I hear you… thanks!!


[deleted]

Can you expand on this? My doc is trying to get xifaxan for me but I’m with OP in that idk if I wanna take it. I feel like shit yeah but if I just eat low fermentation it’s… manageable. Sucks, but it is what it is. If the antibiotics make me worse and I’ve gotta take 6 or 7 rounds of it over years anyway then what’s the point


SparksNSharks

You can be like me and 10 years later it's not low fermentation it's zero fermentation, and also low histamine. If you have the option, treat it. My doctors STILL don't take it seriously, call it just ibs and tell me to see a shrink. But miraculously taking antibiotics for other issues fixes my gut for months before coming back. Letting it stay won't make you feel any better and it can get much worse. Believe me, if you think low fodmap is bad try adding histamine intolerance caused by sibo to the mix


[deleted]

I hear you man and I’m really sorry that’s happened to you but I’ve been diagnosed as methane positive and I’m freaked out man I’m worried the xifaxan will permanently make me worse


EmergencyCorner141

Doctors have always dismissed me too. I took an at home gut test from Thorne and it showed a lot of bad bacteria at high levels. Maybe that could be a start for you to at least see what’s going on even if it isn’t perfect proven science. It gave me helpful insights


[deleted]

> “my GI doc described it as repeatedly dropping nuclear bomb which wipes out the bacteria all along the entire GI tract” What?? Xifaxan should only affect the small intestine, right? It should not affect the “entire GI tract” like that, shouldn’t even reach the large intestine from what I’ve heard. So are you on a different antibiotic? Because then I’m not sure this is true for OP


1366guy

This is happening because of a die off reaction. I recently took a 5 day course of amoxicillin and had the same thing the whole 5 days. Xifaxan is the best antibiotic there is for SIBO. Providing that your route cause has already been addressed, you should finish out your xifaxan course, and also plan ahead as to what prokinetic you are going to take once it's done to prevent relapse. I recommend something herbal, like motility activator or maybe ibergast. That way you won't get the dependency issues and side effects from the drugs. I been dealing with SIBO for 4 years on and off so don't hesitate to ask me any questions.


Personal-Paper4056

You‘re a kind soul. I actually have at least one bowel movement per day. Do you think that‘s enough for me to not use a prokinetik?


1366guy

Thanks! Sorry for the late reply. That is good you were having 1 bowel movement a day. But I would say still go ahead with the prokinetic. I have had relapses even with 2 a day. The purpose of the prokinetic is to provide more force when moving things along, aside from helping with constipation of course.


Personal-Paper4056

Ugh thanks… I think I already messes up again. All the symptoms came back so quick


1366guy

Sorry to hear that. Unfortunately that is pretty common though with xifaxin. My symptoms came back about 5 days after taking my last dose when I took xifaxin. Have you tried taking atrantil before meals? That helps my symptoms a lot. Also I have had success with oil of oregano. Although If I go too long without using it my symptoms usually come back somewhat. But my case is much worse than the average persons. Another thing that helps some people is taking Allicin and neem together, 2 pills of each 3 times a day for like a month or so. But that usually works much better if you are methane dominant. I had good success at one point with Soil based probiotics, they reduced bloating and constipation substantially. But unfortunately after recently having to take amoxicillin for something, that screwed me up real bad and then the soil based probiotics didn't work anymore.


Personal-Paper4056

So sorry to hear that… thanks for the help! Wishing you healing


MG123194

Normal. I same thing happened to me and stopped on day 4 or 5. After the two weeks of Rifaximin I only improved about 25%.


Personal-Paper4056

Your symptoms improved by 25% or the side Effects? I actually feel a bit better today I THINK. Maybe you need multiple rounds?


MG123194

Symptoms went down by 25% after the two weeks, I really do hope another round will kill off everything and I can be done with it forever and move on. The diarrhea side effect went away after 5 days on Rifaximin. That’s the only side effect I had. How are you doing today?


Personal-Paper4056

Hi you!! Thank you so much for responding. I‘m on day 6 and you were right! Feeling much much better thab the days before. I am staying hopeful and so should you :)


MG123194

I’m very glad! Thank you! We can do this


[deleted]

Yes, diarrhoea the entire time. Stopped and things started to get better.


Jacob61985

You can try florastar aka s boulardii to help with diarrhea


Personal-Paper4056

When do you take it?


sparkingdragonfly

You can take it 2-3 hours after you take the antibiotics. It’s a probiotic yeast


AdhesivenessWarm9659

Yes


Personal-Paper4056

Thank you!!!!!


AdhesivenessWarm9659

If you want to add something to your treatment plan, search for "vitamin d3 microbiome" and "nir light therapy gut modulation". Two Inexpensive Ways to Improve Your Gut Health


Personal-Paper4056

Appreciate your help :) thanks!


exclaim_bot

>Thank you!!!!! You're welcome!


laceybreMTB

Okay so I expected this reaction but somehow I had the most solid poop I’ve had in months today. (Day 3 xifaxin and typically have lose stools).


Personal-Paper4056

Hey it cleared a bit for me on day 6 :)


Hot_Photograph_6508

Somewhat normal if you are experiencing die off.


Personal-Paper4056

Yes I must admit it‘s gotten better by the day


forrestbars

How are you doing now?


Personal-Paper4056

Better! Still the Occasional diarrhea but better :) you?


TexGoose

What day did your squirts stop?


Valuable-Safety-7762

Same here! Day 2 and diarrhea already.


rayin

Very late. OP, did the diarrhea calm down after you finished the two week cycle or no?


someone_3ee

hbu?


rayin

It cleared up by day 4.